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This is a case in which an employee encountered an ethical crisis. The organisation was responsible for commissioning healthcare, and it was as if her unconscious was demanding of her professional self: ‘are you going to give me your money or your life?’ Choosing ‘money’ would mean going along with what the organisation was demanding of her at the cost of others’ lives, while postponing the question(ing) of her life; choosing ‘life’ meant confronting the issues the organisation was facing; and resigning meant giving up on either choice.
This encounter between the ‘one alone’ approach of the organisation and the incompleteness of its responses to its citizen-patients reflected a radical non-rapport between the different ways-of-being of the organisation and of the citizen-patient as the organisation’s other, in which the organisation faced a lack experienced as a demand for something more that in this case it was refusing.
This paper considers how the current contractual arrangements between the organisation and its service-providers served the interests of the powers-that-be and examines the gendered assumptions built into these contractual arrangements. The paper considers how a different understanding of leadership would create ways of balancing interests that were en-gendering by working with the non-rapport inherent to the relation between the organisation and the lives of its citizen-clients. The paper will provide some Lacanian background to this way of understanding organisation and consider its implications for the ethical crisis that the contractor faced.